Doctor Name: | DR. SIDNEY EDWARD CROUL |
NPI Number: | 1770946600 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C1-0011649 |
Business Practice Address: | 247 Bay Ave Milford, DE - 199634909 |
Business Phone Number: | 3024489734 |
Business Fax Number: | |
Mailing Address: | 247 Bay Ave, MILFORD |
State: | DE |
Postal Code: | 199634909 |
Phone Number: | 3024489734 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2016 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C1-0011649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |